Forum for Emergency Medicine Practice

Cervical Injections for Headache and Neck Pain

. Technique? Take a 3mL syringe with lidocaine or 0.5% bupivacaine and inject about half of it in the triangle of muscle around C6 and C7 (about 1 to 1.5 inches from the midline). Aspirate and then inject slowly. Perform bilaterally. Don’t aim down towards the dome of the lung to avoid pneumothorax; otherwise there aren’t any structures in this area aside from the muscle.